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The Pitfalls of Routine Health check-ups During Acute Illness: What You Need to Know


Preventive health check-ups, which typically include a series of blood tests, play a crucial role in maintaining overall well-being. These check-ups help identify potential health issues early, allowing for timely intervention. However, while these screenings are essential, the timing of when you undergo them is equally important. Getting routine blood tests during an acute illness—such as the flu, a stomach bug, or even a common cold—can lead to misleading results and unnecessary concerns. Here’s why it’s best to delay preventive health check-ups until after you've fully recovered from an acute illness.

Understanding Acute Illness and Its Impact on Blood Tests:

An acute illness refers to a sudden onset condition that usually lasts for a short period. Common examples include the flu, fever, a cold, or gastroenteritis (Vomiting, Diarrhoea). Although these illnesses are temporary, they cause significant changes in the body’s physiology as it works to fight off the infection or inflammation.

During an acute illness, your body undergoes various responses, such as increasing white blood cell production to combat infection or temporarily altering liver and kidney functions. These changes are normal and typically resolve once the illness passes. However, if you undergo routine blood tests during this time, these temporary fluctuations may show up as abnormalities, potentially leading to unnecessary worry.

The Risks of Misinterpretation:

Blood tests done during an acute illness can be misleading. Temporary changes in your body might be mistaken for chronic problems, leading to unnecessary tests, stress, or incorrect diagnoses. For example, elevated liver enzymes might trigger tests for liver disease, even though they could return to normal once you're better. Similarly, high C-reactive protein (CRP) levels might be wrongly interpreted as chronic inflammation, when it’s just a response to the illness.

Acute illness can also affect thyroid tests, making them unreliable during this time—a condition known as "non-thyroidal illness syndrome." Dehydration can falsely elevate hemoglobin, hematocrit, creatinine, and blood urea levels, which might look like kidney problems. Stress from the illness can temporarily raise blood sugar levels, misleadingly suggesting diabetes. Lipid levels may also change temporarily during illness, giving an inaccurate picture of your cardiovascular health.

Focusing on the Immediate Health Issue:

During an acute illness, the priority should be on diagnosing and treating the condition at hand, not on assessing your overall health through preventive screenings. Focusing on recovery first is crucial, and it's advisable to wait until you've fully recovered before undergoing routine health tests.

When Is the Best Time for Preventive Health Check-Ups?

The optimal time for preventive health screenings is when you are feeling well and in your usual state of health. This ensures that the results accurately reflect your baseline health, allowing your healthcare provider to make well-informed decisions about your care. It's recommended to wait at least a few weeks after recovering from an acute illness before undergoing routine tests to allow your body to return to its normal state.

Routine health screenings are essential for maintaining good health, but timing is key. Undergoing these tests during an acute illness can lead to misleading results, unnecessary worry, and potential misdiagnoses. To ensure that your preventive health check-up provides accurate and meaningful information, it's best to wait until after you’ve fully recovered from any acute illness. Your health is important, and so is the timing of your care.


Dr Prashant Goyal


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